Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Rochester › NPI 1396990537
Physician

Retina Services of the University of Rochester

Retina Services of the University of Rochester was paid $256K by Medicaid between Feb 2018 and Dec 2024, across 9 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 31% of everything it billed.

33Billing provider infoRETINA SERVICES OF THE UNIVERSITY OF ROCHESTER
ROCHESTER, NY 14642
33aNPI1396990537assigned 12/01/2008
33bProvider typeOphthalmology Physician
28Total paid$256K
24GClaims5,327
24DCodes billed9
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#258 of 1,085
Median peer was paid$34K
This provider vs. median7.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HETTERICH, JILL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018103$3K
2019333$11K
2020766$33K
2021788$29K
2022981$47K
20231,487$88K
2024incomplete869$46K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
67028 Intravitreal injection of a pharmacologic agent 31% 650 645 $79K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28% 700 677 $71K
92134 27% 3,128 3,053 $68K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 7.0% 249 245 $18K
92250 2.4% 325 322 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 1.9% 137 94 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.8% 82 76 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.6% 40 39 $4K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 16 12 $921.96

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHETTERICH, JILL (SENIOR DIRECTOR OF FINANCE, URMFG)
Same official

Other billing entities under HETTERICH, JILL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.